The URL can be used to link to this page

08100118 CITY OF CUPERTINO an s&ver•,* - � '• BUILLING'DIM10N PERMIT -iC01Y�R.4C�'�QR"I�NI`�C}R.M�AIDh PERMIT NO. eulLgvtcngolLFs�DY LN LOS GATOS ROOFING 08100118 OWNEIR''S1 NAME: PERMIT ISSUE DATE MAHEMPRA SWAMY P 0 BOX 1726 10/20/2008 NE: SANITARY NO. CONTROL NO, ARCHIECfYENGINEF3i: BUILDING PERMITINFO RE-RF RMV 2LYR EXT CMP/WD BLDG ELECT PLUMB MECH O O O O I 0 0 LICENSED CONTRACTOR'S DECLARATION 1 hereby af0rm that l am Iimnsed muter provisions orChapw 9(mmmcocing Job Description wish Smtice and.of Dividan l of the BULnesand Profcuiona Code.and my license is _ in full force aM c at oa' 7 Lice�Claa, _P 4 Use.t Consume ARCNll W use DELLA AT10 ee 1 undersand rose Plans slWl be used as public records JyU g o In Licensed Processional 3 OWNER-BUILDER DECLARATION i<2 I hereby affirm that 1 am ucmpt from the Contractor's License law for then CaO fallowing mission.(section 711313,Business and Professions Code:Any city or county 3$ which requires a Permit to corutwct,alcor,improve,demuluh,or repair any sbumme —Z< priorteiuiuuance..O.requires theapplicantrarsuch permit to fileasigned statement Nat be is licensed pmSaom,to the pmvisiom of the Conummr's License Law(Chapter 9 Sq.Ft. Floor Area Valuation $ (commencing with Section 7")of Division Sof the Business and Profesdons Code)m .- that he u camp,therefrom and the basis fm the alleged urmption.My violation of Section 7031.5 by any applicators for a permit subjects the applicant to a civil penalty of APN Number Occupancy Type not mom dun five bumbe l dollars(5500). ❑1,as..,of the properly.or my employes rout wages u their sole compensation, will do the work.and the scructme tauntimended mo0ered for We(See.7044,Business Required Inspections sew PwfeICON Cade:The CanVChari License LAW does Out apply in an Owner of y p property W Ire b,proAdcd ftres h impmud Whodocarttrh wart aroffser Wough his awnemployw,proNMd Nam such tmProvemom i. .yeau ctfc completion. fm rata a. however,ill building or ten osenuu a veld Within ane year of mproe for the awmr- bu0du will base the burden of proving Na,he did nm utiW m improve for purpose of ale.). ❑L u owees a the property-w exclusively conbuting with BaruW mnuxws as construct the project(Sec.7D44,thumess and PmRsdans Cade:)The Consaemes Lt- cense Law does not apply to in owner of Property who builds or improves therom.and. who rnnuaeu for such pmje=with a comrsemr(s)licensed pursuant to to ConuazmYa License Law. ❑I am exempt under Sm .B&P C for this meson Dwrcr Dau WORKER'S COMPENSATION DECLARATION 1 hereby air=under penalty of perjury one of the following declarations: 1 have and will maintain a Certificate of Consent m self-buum for Workers Compco- satien,as provided for by Section 3700 of she Labor Code.for the performance of the week for which this permit is issued. 1 have and will maintain Wmkefs Compensation I....as required by Section 3 of the labra Cade,for the perform.of One wort for which this permit in issued - MYWorkes' oro anti mono¢ 'm and Policy number am: Camim Policy Nn.: CERT ICATEOF •(EMPOONFROMWORKERS COMPENSATION INSURANCE Tlhu accdon need rot be cmnpumd true permit u for nuc hoodaud dnlws(S 100) or las) 1 certify that in the Mr..of the ,it for which this Permit u weed I shall not employ,any person in any..r So as to tax.wbject to the Workers'Compeesation Laws of Caliramts Due , Applicants NOTICE TO APPLICANT:If,dWr making Nu Certificate of Eumpton.you should Income subject m the Workefs Caulacuu et provisions of the Labor Code.You man .J O faMwitb comply with such provisions or this permit shall be deemed mwted. y7) CONSTRUCTION LENDING AGENCY [-.t.N., 1 hemhy Silicon that them u a construction lending apacy for the Performance of Ci the Work for which this ford,u issued(Sec.3097.Civ.C.) W�Q Lenders Name - z Lender's Adams U Q 1 sotiry Nat 1 have mad this application and sum than the above information is D. U comccl 1 agree m comply with all city W county ordinances;and awe utas reusing to O building construction,and hereby authorim rtpmsmadses or this city m emerupun the . CT7 above-mentioned property for inspection purposes (We)agmen to save,indemnify and keep batmleas the City of Cupertino against t..h Vl liabilities,judgments,eosu and eapcmu which may to any way acense against and City ()Z in consequence of the gaming of this permit. ^ APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date SOURCE REGULATIONS. Re-roofs Signamen of ApplieandCommener Dau HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will the applicant Or future building occupant Same ahandle haallons material as dcWd by the Cupenitm Municipal Code.Chapter 9AZ and the Health and Safety Code.Section 25532(+>7 ❑sem ONO All roofs shall he inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection,I agree to remove Will arc nit tcant it nts a building occupant tax .Air Qu orM.0devices which g i,haraNnm air contaminants u defined by the Bay Arta Air Quality Mamgcmcnl all new materials for inspection. Distrito ❑sem ON. I hm mW the haurdws materiau mquiremenuumlercepw6.95 of theCatifor- mu Health&Safe,yCodc.Socsions 25505,25533arm1 x5534.1 undersavd that!the building dons not currently have.moons.that it is my responsibility ut mdry the occupent of the mquimmenu which mtw be met prior in sssmmee of a Certificate or Occopemy Signature of Applicant Date • Owner mauthorisctl agent Dam" All roof coverings to be Class'W'or better CITY OF CUPERTINO • 2 ITEMS OF 10 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec : Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 31602071 . 00 DATE ISSUED. . . . . . . : 10/20/2008 RECEIPT # . . . . . . . . . : BS000006404 REFERENCE ID # . . . : 08100118 SITE ADDRESS . . . . . : 10712 RANDY LN SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : MAHEMPRA SWAMY ADDRESS . . . . . . . . . . : 10712 RANDY LN CITY/STATE/ZIP . . . : CUPERTINO, CA 95014-2055 RECEIVED FROM . . . . : LOS GATOS ROOFING CONTRACTOR . . . . . . . : RANDY BROWN LIC # 23481 COMPANY . . . . . . . . . . : LOS GATOS ROOFING ADDRESS . . . . . . . . . . : P 0 BOX 1726 CITY/STATE/ZIP . . . : LOS GATOS, CA 95031 TELEPHONE . . . . . . . . : (408) 298-9399 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL --- ------------- ---------- ---------- ---------- ------ --------- 1BSEISMICR VALUATION 8, 724 . 00 0 . 90 0 . 00 0 . 90 0 . 00 1REROOFRES SQ FEET 21. 00 273 . 00 0 . 00 273 . 00 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 273 . 90 0 . 00 273 . 90 0 . 00 VOICE ID DESCRIPTION VOICE ID DESCRIPTION ----- -------------------------- -------- ---------------------------- 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 604 ROOF IN-PROGRESS 605 FINAL REROOF Community Development Department Building Division • City of Cupertino 10300 Torre Avenue Telephone: (408)777-3228 Fax: (408) 777-3333 Building Department Subject: Re-roofirig policy for the City of Cupertino 1. Prior to permit issuance,you must agree to comply with 1997 UBC Standards and manufacturers specifications on re-roofing. 2. New roof coverings shall not be applied without first obtaining all inspection and written approval from the building inspector. A final inspection and approval shall be obtained from the bi adding inspector when the re-roofing is completed. 3. All roofs shall be inspected prior to any roofing installation. 4. To receive a final sign off from the City, the following steps are required: 1) Pre-inspection and/or tear off approval. 2) In-progress inspection approval. 3) Final inspection approval. a) Spark arrester installation. - • 5. If plywood is installed, a plywood nail inspection is required. 6. Any roofing which is applied without first obtaining an inspection, will require the removal of all new material down to the sheathing, so a proper City inspection can be performed. 7. NOTE: If you call for a plywood nail inspection and the job is not ready, you will be charged a re-inspection.fee of$176.18. The re-inspection fee must be before another inspection can be scheduled. IMPORTANT: 1. Flat roofs must have a minimum of 1/4 "per foot slope and demonstrate that there is no ponding. 2. An I.C,B.O. report is required to be on the job site at the time on inspection. I understand and will comply with the above stated policy on e-roofing. Homeowner's Name: lob Site Address: Z0912 �Gd Roofing Company Name: yy Applicant's Signature: �,/��t,�6iLf/ Date: Greg Casteel Building Official Revised 11/2/04 Community Development + 10300 Torre Avenue Cupertino CA 95014 Telephone(408) 777-3228 CITY OF Fax(408) 777-3333 01UPEkTINO Building De artment JOS ADDRESS: jD/7/� PERMIT #,,p OWNER'S NAME: CL E� re w PHONE # _,��91 GENERAL CONTRACTOR: s FAX I am not using any subcontractors: _ p� Signature D to Please check a221icable subcontractors and complete the following information: SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE 0 Cabinets &Millwork Cement Finishing Electrical Excavation Fencing Flooring: Carpeting Linoleum / Wood Glass/ Glazing Heating Insulation Landscaping Lathing Masonry Ornamental Sheet Metal Painting/ Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile 0 er/ X11 aceto Signature G CITY OF CUPERTINO ' REROOF •CUPEI�TINO PERMIT APPLICATION APN# Date: 3 O2 -D X o Building Address: 16712- a L . Owner's Name: Phone#: /ehdre s�� yW-7zS-26f� Contractor: LOS 6-0_4_0 S ` CIO y 1�?� Phone #: y618' 2 4� �'•- �j� Fax #: YOE' 9L3 7/ Cupertino Business License #: Contractor License #: Cvi? o17 Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof Asphalt Shingles �Asphalt Shingles Wood Shakes ❑ Wood Shakes ❑ Wood Shingles ❑ Wood Shingles ❑ Other (Specify) )6 Other (Specify) 7 / 10 �Aq ` Number of existing coverings Z ❑ Provide I.C.B.O. Pepbrt# To be Removed Provide Mfgr. Installation Specs. S c ^ �— Roof C I4 SS42 9 ° Job Description: Residential Commercial ❑ Fire Zone: Yes ❑ No Confirmed with Planning Dept. if there are any restrictions: ❑ Valuation: ._nn I Have Read, Understand and-Will Comply with Cupertino's Tear-Off Policy: • _ Q^ A Signat6r GAO lZc d�C